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Home My Public Portal About5624-5626 ROSEMEAD BLVD_Electrical__ -�WNW AA -. ME", OF BURDING AND DEPAR COUNT OF LOS ANGELES s` ELECTRIC. VTRIC. 1 1� M. FOX CHIEF ENGINEER N AME �M8Urnys B EB@ I'iCp Maintonnnem .B t DISTICT NO. GROUP ZONE PKRMIT NO. fC $ 9 A� ft-lb i'!��( �0� � - ' � c--)- 18-139 7 ANTY - ��p TEL.Nd:a� i RIVKO� FIRST IN INSPECTION DY FOR DATE ISSUED . (yd EXPIRES °' E) O - APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY J DESCRIPTION OF WORK JOB RESS NUMBER OF OUTLETS ON CIRCUITS LOCALITYION BY WA- LIGHT OUTLETS ROOMSSW. PLUGS p� CROSS ST �' ��'��° CIRCUIT A B CID E F G Ili I ICNAME Z ADDRESS CIT `�, TEL.NO. ® 1 AM THB LEGAL POBSEB�OR OF THE ABOVE LAS _ ANGRUM COUNTY CERTIFICATE OF QUALIFICATI'O'N.. r1 OWAIER'OF THB PROPwff DESCRIBED OWNER. CORRECTIONS 0 - A� 7, B " NC 7 z L� a TOTAL No. of ouTLBTS 2. / -Q APPROVALS NO. OF FIXTURES ffi R DATE INSPECTOR'S NAME LPERMITFEIC MOTORS H.P. ffi CONDUIT SIGNS. TRANS. fls ffi WIRING RANGES OR HEATERS ffi FIXTURES LANEOUS rY� dGl �� ffi N�POWER ffi 5 UTILITYCO.N0T1FIED FE FINA OB 5-A 12-43 25M ` DEPARTMENT OF BUILDING AND SAFETY`i CATIOlOT�F+O�R PER=OF LO.S ANGELES - ELEC 1 RIC . WK-4. FOX. CHIEF ENGINEER Z DISTRICT NO. GROUP ZON r?lT NO. NAME I V 0 ADDRESS J �✓ff'--.Se C� GL +'J✓+�` "LGr TEL.NO. RECEIVED BY READY FOR 13A ISS ED CITY d6 Fl �1 SPwrlIN COUNTY 'J q 6 �', a/ 4 CERT.NO. Y �i EXPIRES /m APPLICANT FILL IN HEAVMt OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK OB ADDRESS �..t.�y-(� NUMBER OF OUTLETS ON CIRCUITS LOCALITY F LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FI7IT CROSS ST CIRCUIT A B C D E F G H ' m NAME /� / Q Z MAIL J I11� � G� 3 ADDRESS / O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS _ pNGE_LES COUNTY CERTIFICATE OF.QUALIFICATION. �"�'" �✓ ELECTRIGIpN.` I AM THE LXGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECUONS Z a TOTAL 9 NO. OF OUTLETS e $ +� APPROVALS kFERMIT FIXTURES " E DATE INBPF�TOf,R'S NAM MOTORS IIP. E ;CONDUIT y ,/ SIGNS TRANS. ffi WIRING { v .r ' RANGES OR HEATERS $ $ 'FIXTURES � ANEOUS E J POWER FEE E e . ',UTILITYCO.NOTIFIt _ �l _ f'/EE. - • FINAL SASBB_CEBOS.B.S, APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTYENGINEER BUILDING ` BUILDING AND SAFETY DIVISION ADDRESS QIP JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES ITEM NUMBER EACH FEE OWNER OUTLETS: $ S MAIL LIGHTS RECEPT. SW. .10 ADDRESS 'P LIGHTING FIXTURES 10 CITY/X, ,#&"4T N ELEC..RANGES CLO.DRYERS ELECTRICI N WATER HEATERS .50 ELEC.SPACE HTRS. DISHWASHERS ADDRESS GARBAGE DISPOSERS AUTO.- 61TY WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. MOTORS: OVER INC. H:P. o— +/a 25� DISTRI O. G OUP ZON RSA Y FOR INSPECTION � V,— 2 .50 /�1 � INSPECTION RECORD 2— 5 1.00 5 — 15 1.90. Is, — 50 2.50 50— 200 5.00 SIGNS: NO.TRANS. NO.LAMPS , SERVICE O-SOOV 1.00 SERVICE OVER SOOV 5.00 MISC. WIRING PERMIT 1:00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50' TOTAL FEE g o APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 13ATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM. PROPERLY REGI RED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COU A ATE OF CALIFORNIA OR TH A HE GAL O T ABOVE POWER s DESCRIBED RES ERTY. - SIGNATURE UTILITY CO:NOTIFIED / A OF PERMI FINAL YZJMATION ARTHUR C.VEIT. CK MO CASH 8UPERVIsixe ELECTRICAL ENGINEER � 02803 °O APft11 2 A 3.60 . M 42 ce S-A 10.41 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY' ELECTRIC COUNTY OF LOS ANGELES ' WM. J. FOX CHI F ENGINEER 4 NAME 14 :,_ DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS `1yr U CITY TEL.NO. RECEIVED BY READY FOR DATE ISSUED .WI COUNTY FIRST INSPECTION W I CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK a BDRESs .. 1 NUMBER OF OUTLETS ON CIRCUITS LOCALI+Y. •' y" 2 LOCATION BY ROOMS - - NEAREST LIGHT OUTLETS SW. PLUGS FIxT CROSS ST. CIRCUIT A B C D E F G H W NAME MAIL ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSESSORF THE ABOVE LOS ANGELES COUNTY CERTIFICATE �F QUALIFICATION.. ELECTRICIAN. 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE le OWNER. CORRECTIONS J d z c� 0 TOTAL NO. OF OUTLETS ffi APPROVALS NO. OF FIXTURES ffi DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. s WIRING NO. OF RANGES OR HEATERS ffi FIXTURES MISCELLANEOUS r- $ POWER PERMIT FEE ffi UTILITY CO.NOTIFIED TOTAL FEE FINAL 8A889-CE808 10-80 APPLICATION FOR ELECTRICAL. ERMIT - •1 . COUNTY OF LOS ANGELES Di�IARMENT OF-COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ' ADDRESS -JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SuP,T OF BUILDING - - LOCALITY NEAREST FOR APPLICANT•TO FILL-IN. CRoss ST. PERMIT FEES. OWNER 1 T E M NUm3ERj EACH FEE MAIL. �- ADDRESS. OUTLETS: $; $ LIGHTS . RECEPT. SW. .10 CITY - ' TEL. NO. LIGHTING FIXTURES / :10 ELEC. RANGES CLO.DRYERS - ELECT CIAN' IV/A T E R' HEATERS .$O • ADDRESS ELEC.SPACE HTRS. DISHWASHERS1 - • .CIT TEL NO. GARBAGE DISPOSERS AUTO.- ..STA E - WASHERS STA.COOKING UNITS ,2$ 1 LICENSE NO. MOTORS OVER 'INC. H.P. DIST�,ICT N.. , GROUP ZO. E PR E BY O— I/a 28 S I/a— 2 1 ,50 INSPECTION CORD . 2— $ 1.00. r >- a u is— 50 ' 2.$0 so— 200 5.00 / MO-TRANS. SIGNS: No.LAMPS - SERVICE O-kOOV 1.00. a SERVICE OVER 600V 5.00 M ISC. WIRING PERMIT -1.00: , FIXTURE PERMIT SUPPLEMENTARY PERMIT ,$O TOTAL FEE ffiD I HEREBY ACKNOWLEDGE THAT 1 HAVE READ-THIS APPLICATION APPROVALS DATE ' INS PECTO •S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING. ELECTRICAL WIRING.' WIRING Gds I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY. AND STATE OF FIXTURES CALIFORNIA OR, THAT I AM'THE LEGAL OWNER OF THE ABOVE - DESCRIBED RESIDENTIAL PROPERTY.. POWER SIGNATUREUTILITY CO.NOTIFIED OF PERMITTE FINAL V DATI ARTHUR C.VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER, 73S-SA 122.-54 ASS8APPLICATION FOR ELECTRIC.RIC PERMIT ], DB DIVISION OF BUILDING AND SAFETY Depo:fineat of County Engineer County of Los Angeles ��- FOR WM.J.FOX. COUNTY ENGINEER ADDRE SBUILDING '�` 11Orf E t7i AFF-;,d- CASSATT D.GRIFFIN,SUPTMMM. OF BUILDINGsyAPPLICANT TO FILL IN LOCALITY / 1: Fri �� 01 I Try PERMIT FEES NEAREST CROSS ST. �..1� / Lf h Q S FEE NUMBER EACH n LIGHT OUTLETS _�� OWNER Eb • ►�� H-/c RECEPTACLES MAIL' WALL SWITCHES ADDRESS TOTAL OUTLETS _ 5¢ S �.� CITY TEL.NO. ELEC. RANGES 25 ELECTRICIAN Ca— 'P,*9- / Ire-1-fz L ELEC.HEATERS 25 ADDRESSS- /D/3 Ti L KW EA rr�� p CITY L NI m D w f J; Cts l 'TEL. NO.8 P 9/ FIXTURES T S L° LICENSE NO. 7 5- NUMBER NUMBER OF LIGHT CIRCUITS mm�mi DISTRICT I GROUP 1 I ZONE J'READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER. HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH y� ?! %&LESS S .25 I/2 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. NO. SIGNS 'NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING 51.00 FIXTURES 51.00 _� d SUPPLEMENTARY 50 Q ` APPROVALS- TOTAL FEE $ �+ sJ' DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE .IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT 1 AM LEGAL OW OF THE ABOVE DESCRIBED RESISIDENTIA OPERTERTY. UTILITY CO.NOTIFIED A SIGNATURE OF PERMITTEE WILLIAM J. FOX,COUNTY ENGINEER VALIDA 0 S JUN 14 325 m BY \ ® y -2) ` DEPUTY WORKERS'COMPENSATION DECLARATION 76-663 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self ti CE-8066 insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES � � BUILDING AND SAFETY ora certified copy thereof(Sec. 3800, Lab. C'.) i Policy.No. Company FOR APPLICANT.TO FILL IN JOB Certified co is hereby furnished. EACH NO. FEE 8A 06 ADDRESS PY Y New Residential Bldgs. &Pools ❑ 1 &2-Family, S Ft. $ — $ LOCALITY Certified copy is filed with the county building i.nspec- y- q' NEAREST tion department. Multi-family Sq. Ft. Residential Swimming Pools CROSS ST. S Date Applicant OWNER OR FIRM NAME L +� CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RetLight Sw._, MAIL ,t COMPENSATION INSURANCE ADDRESS This sen need not be completed If the work involved by First 20 ( section p I the permit is for one hundred dollars($I00)or less.) Total No. Additional CITY Tel. No. I certify that in the performance of the work for which this PLAN CHECK APPLICANT' permit is issued,I shall not employ any person in any manner so as to become subject to.the Workers'Compensation Laws. Lighting Fixtures. First 20 ADDRESS Total N'o: Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven _Dryer —W.M.— ADDRESS with comply with such provisions or this permit'shall be Top FAU —W.H. deemed revoked. Hood CITY , Tel. No _ Fan _Other_ LICENSED CONTRACTORS DECLARATION LICENSE OR I.hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG.NUMB ?j� Class. (commencing.with Section 7000)of Division 3 of the Business DISTRICT NO.. PROCESS BY Power Apparatus&Large Appliances !_ and Professions Code,and my license is in full force and effect. � 6 � ^� �n Size&Type HP.., KW, KVA, or KVAR' 0 License Numbey?L� L mil/ Glass. Up to 1 Incl. FINAL 0 j41e'J� r Q� Over 1 to 10 Incl. DATE i o VALIDATION Contractor, -ate �+ Over 10 to 50 Incl. FINAL ❑ I am exempt under Sec. Over 50 to 100 Inc. BY BAP.C. for this reason Over 100 Date: Services, Swbd., MCC&Panelboards / o 0 -200 Amp: Under 600 V Signature 201 - 1000 Amp. Under 600 V 355 8 8 p ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. +.' 0 0 0 0 0 SINGLE FAMILY Temp. Power Pole&Appurtenances HOME.OWNER-BUILDER DECLARATION Sign with One Branch Circuit 2 1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits x Law for the following reason (Section 7031:5, Business and C v Professions Code): .� . ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors' ( ;] 1 2'—6 0 structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ , 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE. / Lender's Address I certify that Ihave read.this applicationand state.that the TOTAL FEE S� above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and ` hereby authorize representatives of this County to enter upon tbf above-mentio d property for Inspection purposes.. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permi ee Date • I WORKERS'COMPENSATION DECLARATION p6A6e3 10%81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self FE"� insure, or a certificate of Workers'Compensation Insurance, I COUNTY OF LO,:$ANGELES C BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lob. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB EACH NO. FEE ADDRESS Z�1 Certified copy is hereby furnished. New Residential Bldgs. &Pools $ $ ff ❑ LOCALITY Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. — 7/1 tion department. Multi-family Sq. Ft. — NEAREST ` GROSS ST. 4r Date Applicant Residential Swimming Pools FOIRM NAME �L CERTIFICATE OF EXEMPTION PROM WORKERS' Outlets: Rec Light Sw._ MAIL11�//__22 fJ COMPENSATION INSURANCE ADDRESS J&3A G't First 20 -�- _ (This section need not be completed if the work involved by Total No. Additional CITY r ��r Tel. Nor75- the permit is for one hundred dollars($100)or less.) PLAN CHECK/ I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not.employ any person in any manner 7 so as to become subject to the Workers'Compensation Laws.4. Lighting Fixtures First 20 ( ADDRESS ox total No. Additional CITY Tel. No. Date Applicant ixed Appliances-Not Over 1 HP PERMIT NOTICE TO APPLICANT: If; after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater_D.W. _ - Compensation provisions of the Labor Code, you must forth- Oven _Dryer W.M.— ADDRESS 6 1 with comply with such provisions or this permit shall be Top _ FAU Z W.H. — t Hood _ Fan _Other_ CITY Tel. 1VcL p deemed revoked. - fr-• (J LICENSED CONTRACTORS DECLARATION LICENSE OR / I hereby affirm that I am licensed under provisions of Chapter 9 DECLARATION . — Room Air Cond. v REG.NUMBER cj Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESSE BY and Professions Code,and my license is in full force and effect. Power Apparatus&Large.Appliances L 0 Size&Type HP, KW, KVA, or KVAR' License Number gW-1`Z CJLic. Class Up to 1 Incl. FINAL � 8L �� C-Date '7 t— Over 1 to,10.Ind. DATE ,, ,. VALIDATION Contractor Over 10 to 50 Incl. r ❑ FINAL 00 / I am exempt under Sec. Over 50 to 100 Inc. BY B:&P.C. for this reason Over 100. St s,Swbd., MCC&Panelboardsi / pop 0 -200 Amp. Under 600 V Signature 201 -1000 Amp'. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances '3 5 2.0 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License 0 0 0. - 0 2 Law for,the following reason (Section 7031.51 Business and Additional Sign Branch Circuits Professions Code): [ o o `Z 5,2- 0 j 2 5 Misc.'Conduits&Conductors I, as owner of the property, will do the work and the Poo 0 0 0 '-?1. 2 c5 structure is not intended or offered for sale (Section then(See o�mplete Fee Sch dGule)_ 7044, Business and Professions Code). LL L 7. 1 1 _ J CONSTRUCTION LENDING AGENCY N I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE /0 I'll Lender's Address ^ I certify that I have read this application and state that the TOTAL FEE above Information Is.correct. I agree to.comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the ve-m tionedp,opert f r inspection purposes. ? SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKERS'COMPENSATION DECLARATION ICE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that i have a certificate of consent to self ,CE-8066 insure, or a certificate of Workers'Compensation Insurance, I COUNTY OF.LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab: C.) Policy No. Company I FOR APPLICANT TO FILL IN JOB A%AJ1 ADDRESS Certified co is hereby furnished. EACH NO. FEE PY� Y New Residential Bldgs. &Pools ❑ 1 8 2-Family, S Ft. $ — $ LOCALITY Certified copy is filed with the county building inspec- y� q' NE ' AREST tion department. Multi-family Sq. Ft. — L OSS ST. Residential Swimming.Pools OWNER OR Dote Applicant ��//�� FIRM NAME d CERTIFICATE'OF EXEMPTION FROM WORKERS' I Outlets: Rec Light�w� AMAIL /W DDRESS COMPENSATION INSURANCE First 20 1 (This section need not be completed if the work involved by Total N Additional CITY ue el. No the permit is far one hundred dollars($100)or less.) performance of the work for which this PLAN CHECK I certify that In the P ® � APPLICANT permit is issued,I shall not employ any person in any manner so as.to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant :1 Fixed Appliances Not Over 1 HPPERMIT NOTICE'TO APPLICANT: If, after making this Certificate of Range— Heater_D.W. APPLICANT an Exemption, you should become subject to the Workers' I 9 Compensation provisions of the Labor Code,-you.must forth- Oven —Dryer _W.M.— ADDRESS- with comply with such provisions or this permit shall be top _ FAU —W.H. —. deemed revoked. Hood _ Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 n Disp. _ Room Air Cond. Clas REG.NUMBER (commencing with Section 7000)of Division 3.of the Business I Power Apparatus&Large Appliances DISTRICT NO. PRO D BY IL and Professions Code,and m.y license is in full force and effect. Size&Type HP, KW, KVA, or KVAR �L`✓ IL License Number Lie. Class _ i Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE -°�'�.�� VALIDATION 0 Contractor Date FINAL / �+ ❑ Over 10 to 50 Incl. I am exempt under Sec. 1 Over 50 to 100 Inc. BY .G� � au BAP.C. for this reason . • l Over 1.00 U) Date: Services, Swbd., MCC&Panel.boards 0 -200 Amp. Under 600 V 9 A Signature 201 - 1000 Amp. Under 600 V 1' ❑ Over 1000 Amp. or Over 600 V 0 0 o a'o ? Exemption for Reg. Maint. Elect. SINGLE FAMILY 2 0 0 4 5 i Temp. Power Pole&Appurtenances •5 HOME OWNER-BUILDER DECLARATION Sign with One.Branch Circuit I hereby affirm that I am exempt from.the Contractor's License 4 •� .ca Law for the following reason (Section 7031.5; Business and Additional Sign Branch Circuits Professions Code): 0-51 6-8 3 El1, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending.agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.): t PLAN CHECKING FEE Lender's Name 1 PERMIT ISSUING FEE Lender's Address I certify that.I have read this application and state that.the TOTAL FEE above information is correct. I agree to comply with all County ' ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the abo mentioned perty for inspection pu poses SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature of Permittee Dat